KAITLIN ROSE PETERSON


Address: 4010 W 65th St, Edina, MN 55435
Phone: 9624567000

KAITLIN ROSE PETERSON (NPI# 1730673757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730673757
Entity Type Individual
Full Name KAITLIN ROSE PETERSON
Credential PA-C
Practice Address 4010 W 65th St
Edina
MN 55435
Mailing Address 4200 Dahlberg Dr Ste 300
Golden Valley
MN 55422-4841
Practice Telephone 9624567000
Practice Fax Number 9524567001
Mailing Telephone 7635207870
Mailing Fax Number 7635207580
Enumeration Date 2018-06-22
Last Update Date 2018-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 12759 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers KAITLIN PETERSON

NPI Name Taxonomy Address Enumeration
1336621978 Kaitlin Antoinette Peterson Social Worker 420 7th St, Racine, WI 53403-1287 2018-08-30
1669903191 Kaitlin Mary Peterson Student in an Organized Health Care Education/Training Program 5000 W Chambers St, Milwaukee, WI 53210-1650 2017-03-26

Office Location

Street Address 4010 W 65TH ST
City EDINA
State MN
Zip Code 55435

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164022059 Fernando Cepollina Raduan Orthopaedic Surgery 4010 W 65th St, Edina, MN 55435-1706 2020-10-29
1164029419 Carli Marie Walker Physical Therapist 4010 W 65th St, Edina, MN 55435-1706 2020-10-08
1740897016 Emily Louise Langan Nurse Practitioner 4010 W 65th St, Edina, MN 55435-1706 2020-09-30
1922657501 Chase William Hanson Physician Assistant 4010 W 65th St, Edina, MN 55435-1706 2019-09-06
1427610120 Megan Lee Armstrong Physician Assistant 4010 W 65th St, Edina, MN 55435-1706 2019-07-02
1902384159 Kathleen Ann Heimer Occupational Therapist 4010 W 65th St, Edina, MN 55435 2018-07-31
1548761729 Kaitlyn Ann Lindahl Occupational Therapist 4010 W 65th St, Edina, MN 55435-1706 2018-02-23
1386161552 Breanna Nicole Smith Physical Therapist 4010 W 65th St, Edina, MN 55435-1706 2017-08-28
1891218095 Christopher Andrew Armstrong Physician Assistant 4010 W 65th St, Edina, MN 55435 2017-07-19
1578085742 Erik Haakon Grindal Physician Assistant 4010 W 65th St, Edina, MN 55435-1706 2017-07-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104433416 Evy Christine Claussen Social Worker 6363 France Ave. S., Edina, MN 55435 2020-09-30
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1538666326 Amanda Deangelo Physical Therapist 6401 Southdale Hospital, Ll3g, Edina, MN 55435 2018-04-09
1982107876 Julia Seliber Dental Hygienist 7600 France Ave.s. Suite 1100, Edina, MN 55435 2018-03-16
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1730605528 Edina Medical Supplies Durable Medical Equipment & Medical Supplies 7455 France Ave., #614 S, Edina, MN 55435 2017-08-14
1033565510 Minnesota Disc Replacement and Spine Restoration Center Clinic/Center 4444 76 St, #700, Edina, MN 55435 2016-05-13
1306206321 Barb Ryan Mechanotherapist 7550 France Avenue S, #220, Edina, MN 55435 2016-03-03
Find all providers in zip 55435

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033756168 Chandler R Hutton Physician Assistant 6550 York Ave S Ste 112, Edina, MN 55435-2332 2019-12-09
1619529369 Mh 101, PC Physician Assistant 6801 Washington Ave S Ste 100, Edina, MN 55439-1523 2019-07-12
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1346676319 Catherine Anne Cecconi Physician Assistant 6545 France Ave S Ste 586, Edina, MN 55435 2013-09-22
1255619813 Evan M Burgart Physician Assistant 6363 France Ave S Ste 400, Edina, MN 55435-2130 2011-08-01
1962737981 Melissa Faye Hall Physician Assistant 6363 France Avenue South, Suite 400, Edina, MN 55435 2009-10-08
1588825145 Bennett Ezra Goltz Physician Assistant 6363 France Ave S Ste 103, Edina, MN 55435 2008-06-17
1013105907 Maisy Monica Sanneman Physician Assistant 6525 France Ave. S., Suite 200, Edina, MN 55435 2007-10-05
1699701672 Sarah Teresa Bot Physician Assistant 6525 France Ave South, Suite 100, Edina, MN 55435-3624 2006-06-23
1336108224 J Robert Noel IIi Physician Assistant Fairview Geriatric Services, 7505 Metro Blvd Suite 100, Edina, MN 55439 2006-03-21
Find all providers in EDINA

Competitor

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City EDINA
Zip Code 55435

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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